Madison Mabe

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A04387 Issued in KY

Practice address

109 Homewood Blvd
Glasgow, KY 42141-3468

Phone

(270) 651-6126

NPI assigned

Sep 7, 2023

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Madison Hume Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1962288530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 WOODLAWN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412561",
            "telephone_number": "270-261-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HOMEWOOD BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413468",
            "telephone_number": "270-651-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABE",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HUME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macel Lopez Perez
• David Anthony Lopez
• Frederick S Lorenz, MD
• LP Glasgow, LLC (Signature Healthcare of Glasgow Rehab & Wellness Center)
• Liisa Lucas, LPCA
• Omar Hamdy Mahmoud, D.O.
• Alexander Mallory
• Brad Morris Mallory, M.D.
• Kenny Joe Manion, MD
• Christy Dawn Marion, KCSA

• Physical Therapy Assistant in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.